Family Planning Elevated: Initiative Evaluation

NCT03877757 | Active Not Recruiting

• 1 other identifier: 117213
• Study Type: observational
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

Family Planning Elevated (FPE) is a statewide contraceptive initiative with two primary aims: 1) supporting existing and proposed legislative policy that expands family planning services in Utah among low-income individuals covered by contraceptive legislation (currently individuals at ≤100% federal poverty) and 2) demonstrating additional existing service need among low-income individuals who currently fall in the contraceptive coverage gap (101%-250% federal poverty). Family Planning Elevated provides contraceptive grants, education and training, and technical assistance on comprehensive contraceptive care to participating clinics. The purpose of this evaluation is to assess the effect of FPE on clinic-level family planning service delivery among low-income women who fall in the contraceptive coverage gap compared to those receiving services from matched control clinics which did not receive the intervention. To assess these effects, FPE will collect monthly family planning service delivery data from both intervention and control clinics, beginning 12 months prior to the FPE intervention, and following for 12 months after the FPE intervention ends. A difference-in-difference analysis will compare trends and level-changes in family planning services provided to intervention and control groups.

Conditions

Contraception

Keywords

Family Planning; Implementation science; Evaluation; Contraceptive initiative

Outcome Measures

Primary Outcomes (1)

• Change in total family planning services provided to women ages 18-49, as measured by monthly service delivery report

  Family planning services are defined as all family planning-related E/M, CPT, and HCPC codes within the FPE monthly service delivery report

  12 months prior to FPE intervention start, for the 24-month intervention period, and for 12 months post-intervention

Secondary Outcomes (1)

• Changes in total long-acting reversible contraceptive services (LARC) provided to all women ages 18-49, as measured by monthly service delivery report

  12 months prior to FPE intervention start, for the 24-month intervention period, and for 12 months post-intervention

Study Arms (2)

Family Planning Elevated Contraceptive Access Clinics Program

This group consists of community clinics who apply and are accepted for FPE CAP membership during the Family Planning Elevated initiative. These clinics will receive the intervention and will provide monthly service delivery data to the FPE evaluation team.

Control Clinics

This group consists of non-participating community clinics matched on clinic size, geography, and client populations who are not interested in participating in the initiative but are willing to provide monthly service delivery data to the FPE evaluation team.

Eligibility Criteria

• Age: 18 Years - 50 Years
• Gender Eligibility Details: Women of reproductive age
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

The intervention occurs at the clinic level. Participating clinics are Utah health systems and individual clinics across Utah.

You may qualify if:

• Women of reproductive age (age 18-50) who visited the intervention or control clinic within the allotted time frame.

You may not qualify if:

• Under age 18

Sponsors & Collaborators

• University of Utah: lead

Study Sites (1)

University of Utah, Department of Obstetrics & Gynecology

Salt Lake City, Utah, 84132, United States

Location

Related Publications (2)

• Cohen SR, Baayd J, Garcia G, Quade C, Gero A, Ekey M, Poggio C, Simmons R. Facility-based simulation as a programmatic tool for implementing a statewide contraceptive initiative. BMC Health Serv Res. 2022 Jul 29;22(1):965. doi: 10.1186/s12913-022-08332-4.

  PMID: 35906656 DERIVED

• Baayd J, Simmons RG. Protocol for a process evaluation of Family Planning Elevated: a statewide initiative to improve contraceptive access in Utah (USA). BMJ Open. 2020 Oct 1;10(10):e038049. doi: 10.1136/bmjopen-2020-038049.

  PMID: 33004395 DERIVED

Study Officials

• Rebecca Simmons, PhD

  University of Utah, Department of OBGYN

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 7, 2019
• First Posted: March 18, 2019
• Study Start: February 1, 2019
• Primary Completion: June 14, 2024
• Study Completion: December 28, 2025
• Last Updated: December 11, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)